NPI | 1497825707 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 679) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP0818) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2008-06-20 |